Provider Demographics
NPI:1568505576
Name:RABINOWITZ, MARCY MR (MA, RD)
Entity Type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:MR
Last Name:RABINOWITZ
Suffix:
Gender:F
Credentials:MA, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CROFT PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6508
Mailing Address - Country:US
Mailing Address - Phone:267-388-9727
Mailing Address - Fax:
Practice Address - Street 1:1415 ROUTE #70 EAST
Practice Address - Street 2:SUITE #401
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-354-9100
Practice Address - Fax:856-428-3304
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ487002133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1997821OtherUNITED HEALTHCARE
NJ2313299OtherAETNA HEALTHCARE
NJP888914OtherOXFORD HEALTH PLANS
NJ097395Medicare ID - Type Unspecified